Organization Active NPI

Ep Medical Equipment Inc

  • Pharmacy
  • Miami, FL
National Provider Identifier
1801871892
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH15954 Issued in FL
Legal business name
EP MEDICAL EQUIPMENT INC
Doing business as
EP Medical Equipment Pharmacy
Practice address
6440 SW 117TH Ave
Miami, FL 33183-2822
Phone
(305) 630-9307
Fax
(305) 630-3414
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eleuterio Perez
Title
President
Phone
(305) 630-9307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PH15954 FL Primary

Addresses

Primary practice location

6440 SW 117TH Ave
Miami, FL 33183-2822

Mailing address

6440 SW 117TH Ave
Miami, FL 33183-2822
Phone (305) 630-9307

Other identifiers 2

IdentifierTypeStateIssuer
1083295OtherNABP
106462200MedicaidFL

Other names 1

  • EP Medical Equipment Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930053176 FL DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered Pharmacist 3779603220 Practice locations: Miami, FL
O20200206000628 FL Part B Supplier - Pharmacy 3779603220 Practice locations: Miami, FL
O20210614001719 FL Part B Supplier - Independent Clinical Laboratory 3779603220 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ep Medical Equipment Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6640 SW 117TH Ave
FL 33183

6440 SW 117th Ave
#2
Miami, FL 33183
Phone (305) 630-9308

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1801871892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832822",
            "telephone_number": "305-630-9307",
            "fax_number": "305-630-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832822",
            "telephone_number": "305-630-9307",
            "fax_number": "305-630-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELEUTERIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-630-9307"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH15954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1083295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106462200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EP Medical Equipment Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EP Medical Equipment Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.